ADEKUNBI BAKIAT ADEFESO DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

ACTIVE

Business

Title

DMD

First Name

ADEKUNBI

Middle

BAKIAT

Last Name

ADEFESO

Business Name

ADEKUNBI BAKIAT ADEFESO DMD

Original Issue Date

11/09/2023

Effective Date

08/05/2024

Expiration Date

09/30/2027

City

EVANSTON

State

Zip

60203

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/05/2024